Is food more than a means of survival? An overview of the Balkan prison systems.

Food is a versatile national, social, and cultural marker. It represents more than just a means of survival (Stajcic, 2013); it is an expression of identity (Jones, 2017). Food has a symbolic power and carries a sense of community, relays customs, habits, and values. According to Godderis (2006), people "do" food. In institutional settings, such as prisons, often stripped of basic human rights and dignity, food can acquire yet another dimensions. It can become a means to pass time, regain normalcy, and cope with daily hardships. Despite its multifaceted importance, there is a paucity of research on prisoners' diet, with most being done on the US, UK, and Scandinavian prison systems (Smoyer, 2019; Smoyer & Kjaer Minke, 2015). This article drew from academic and non-academic sources (e.g., government reports, newspaper articles, prison blogs) to provide an overview of the Balkan prison systems through the lens of food. It will present weekly menus from three different countries and discuss alternative ways of accessing food in prisons (i.e., through prison commissary, prison farms, and food packages). It will further demonstrate prisoners' use of food to regain autonomy in the context of multiple deprivations. Lastly, this paper will reflect on the role of food, coffee, and cigarettes in prisoners' socialization, as well as in reiteration of prisoner subculture.

[Mental treatment of refugees in Germany : Model for a stepped approach]. / Psychische Versorgung von Flüchtlingen in Deutschland : Modell für ein gestuftes Vorgehen.

The recent influx of refugees and asylum seekers into Germany poses a challenge for the national healthcare system. In compliance with the present Asylum Seekers Benefits Act, the national healthcare system can be expected to have 1.5 million new members by early 2017. Providing adequate care particularly for people with mental illnesses or disorders will represent an immense challenge for all actors in the system. The circumstances of the flight combined with the foreign linguistic and socio-cultural background increase the severity of the cases and the difficulties of treatment. No procedures or guidelines for treatment have yet been established to ensure a standardized, cost-efficient and therapeutically effective treatment of patients with this background. This article describes the components of a stepped treatment procedure and proposes a stepped and collaborative care model (SCCM) that could be evaluated in nationwide studies. This approach is based on national and international treatment guidelines and aims to provide target-group specific, culturally sensitive methods of diagnosis and treatment. The various steps of the model build on each other, with the first steps relying on technological aids (e.g. online or smartphone options) and support from lay helpers and the more expensive specialist psychiatric and psychotherapeutic therapy only being initiated in cases of more severe mental disorders.

Psychological-Mindedness and American Indian Historical Trauma: Interviews with Service Providers from a Great Plains Reservation.

The concept of historical trauma (HT) was developed to explain clinical distress among descendants of Jewish Holocaust survivors and has since been ascribed new meanings to account for suffering in diverse contexts. In American Indian (AI) communities, the concept of AI HT has been tailored and promoted as an expanded notion of trauma that combines psychological injury with historical oppression to causally connect experiences with Euro-American colonization to contemporary behavioral health disparities. However, rather than clinical formulations emphasizing psychological injury, a focused content analysis of interviews with 23 AI health and human service providers (SPs) on a Great Plains reservation demonstrated strong preferences for socio-cultural accounts of oppression. Reflective of a local worldview associated with minimal psychological-mindedness, this study illustrates how cultural assumptions embedded within health discourses like HT can conflict with diverse cultural forms and promote "psychologized" perspectives on suffering that may limit attention to social, economic, and political determinants of health.

"So, is that your 'relative' or mine?" A political-ecological critique of census-based area deprivation indices.

Census-based deprivation indices have been widely used in Aotearoa/New Zealand, Canada and UK to measure area-based socio-economic inequalities. This paper examines the indicators used in census-based area deprivation indices using a political ecology approach. We question whether the current indicators of deprivation derived from census data are meaningful for the all age groups and minority groups in the population, with a particular focus on deprivation indicators used in New Zealand, Canada and the United Kingdom. We comparatively reviewed methodological papers and reports that describe the indicators of deprivation in Aotearoa/New Zealand, Canada and the UK from 1975 to 2014. We consider the relationship between the notion of standards of living and measurements of deprivation and explore how hegemonic cultural constructs are implicit in measures of deprivation that privilege a Eurocentric, ageist and gender normative construction of statistics. We argue for more political ecological analyses to studying the relationship between social inequalities, geographies, health inequities and political economy to transform structures of oppression and inequality. This requires turning the analytical gaze on the wealthy and privileged instead of defaulting into deficit models to account for inequality. Studies of deprivation and inequality would benefit from understanding the processes and operations of power in the (re)production of socio-economic and health inequities to inform holistic strategies for social justice.

[Embodied inequalities: challenges for psychosomatic medicine]. / Verkörperte Ungleichheiten: Herausforderungen für die psychosomatische Medizin.

Even though highly criticized, the reductionist biomedical paradigm dominates medicine until today. This downplays that we as humans are not only biological organisms but simultaneously also social beings which live in socially organized societies. Disease and premature mortality are thus embodied expressions of the conditions under which we live and work. The paper outlines that a large part of prevailing diseases are strongly influenced by social, economic and political determinants and analyses how social inequalities get under the skin and cause adverse health. Considering social as well as biological processes can generate new evidence, how we biologically incorporate our lived experience and thus create social patterns of health and illness not only in societies but also between societies.

Concept analysis of Diné Hózhó: a Diné wellness philosophy.

American Indian Alaska Native people of the United States face challenges in attaining physical, mental, spiritual, and environmental health. This article presents a concept analysis of Diné Hózhó, a complex and misunderstood wellness concept the Diné (Navajo) strive to attain. Findings from a literature review are presented to explore anthropological definitions and uses of the concept Hózhó. The method of concept analysis of Walker and Avant is utilized, model cases are presented. Recommendations for application in nursing practice are presented.

Healthy country: healthy people? Exploring the health benefits of indigenous natural resource management.

OBJECTIVE: Decades of health-related research have produced a large body of knowledge describing alarming rates of morbidity, mortality and social/cultural disruption among Indigenous Australians, but have failed to deliver sustainable interventions to arrest the deepening spiral of ill-health. This paper explores the potential of Indigenous natural resource management (NRM) activities to promote and preserve Indigenous health in remote areas of northern Australia. METHOD: A literature review of the health, social science and ecology peer-reviewed journals and secondary literature. CONCLUSIONS AND IMPLICATIONS: Effective interventions in Indigenous health will require trans-disciplinary, holistic approaches that explicitly incorporate Indigenous health beliefs and engage with the social and cultural drivers of health. Aboriginal peoples maintain a strong belief that continued association with and caring for ancestral lands is a key determinant of health. Individual engagement with 'country' provides opportunities for physical activity and improved diet as well as boosting individual autonomy and self-esteem. Internationally, such culturally congruent health promotion activities have been successful in programs targeting substance abuse and chronic diseases. NRM is fundamental to the maintenance of biodiversity of northern Australia. Increased support for Indigenous involvement in land and sea NRM programs would also deliver concrete social benefits for communities including opportunities for sustainable and culturally apt regional employment, applied education and economic development. NRM may also reinvigorate societal/cultural constructs, increasing collective esteem and social cohesion.

Employment of deaf people as influenced by potential employers' perceptions: pathological compared with sociocultural perspectives.

Two basic perspectives contrast how people perceive deafness: the pathological and sociocultural perspectives. The pathological perspective focuses on the medical issues related to hearing impairment. The sociocultural perspective views deafness as a cultural difference. This study investigated whether these perspectives influenced assessments of deaf job candidates in a mock hiring scenario. Undergraduates were given information supporting either the pathological or sociocultural perspectives. They later rated deaf and hearing job candidates who were presented as having identical qualifications. The hypothesis was not supported in this study; the experiment did not significantly alter the views of future prospective employers. Also, education about the deaf culture did not appear to have an impact on deaf and hearing relations.

Experience-dependent neuronal specialization and functional organization in the central auditory area of a songbird.

The effect of early experience on brain development was investigated in the central auditory area of a songbird, the field L complex, which is analogous to the mammalian auditory cortex. Multi-unit recordings of auditory responses in the field L complex of adult starlings raised without any experience of adult song during development provide strong evidence of developmental plasticity both in the neuronal responses and in the functional organization of this area. Across the entire area, experimental birds, separated from adults from the age of 1 week old until they were 2 years old, had a much larger number of neurons that responded to all the stimuli than did control birds. The well-known tonotopy demonstrated in adult wild birds using the same procedure was altered. This study is the first to bring evidence of developmental plasticity in the organization of the central auditory areas in songbirds. These results are discussed in relation to other reports on effects of early experience on brain development.

Does childhood health affect chronic morbidity in later life?

Our analysis examines whether childhood health has long-term and enduring consequences for chronic morbidity. As a part of this analysis, we address two methodological issues of concern in the literature. Is adult height a surrogate for childhood health experiences in modeling chronic disease in later life? And, are the effects of adult socioeconomic status on chronic disease overestimated when childhood health is not accounted for? The analysis is based on a topical module to the third wave of the Health and Retirement Study, a representative survey of Americans aged 55-65 in 1996. Our results support the hypothesis that poor childhood health increases morbidity in later life. This association was found for cancer, lung disease, cardiovascular conditions, and arthritis/rheumatism. The associations were highly persistent in the face of statistical controls for both adult and childhood socioeconomic status. No support was found for using adult height as a proxy for the effects of childhood health experiences. Further, the effects of adult socioeconomic status were not overestimated when childhood health was excluded from the explanatory models. Our results point to the importance of an integrated health care policy based on the premise of maximizing health over the entire life cycle.

The voluntary community health movement in India: a strengths, weaknesses, opportunities, and threats (SWOT) analysis.

There has been a prolific growth of voluntary organizations in India since independence in 1947. One of the major areas of this growth has been in the field of community health. The purpose of this article is to historically trace the voluntary movement in community health in India, analyze the current status, and predict future trends of voluntary efforts. A review of the literature in the form of a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis was the method of this study. Some of the key trends which emerged as the priority areas for progress and for strengthening voluntary organizations in the future were enhancing linkages between health and development; building upon collective force; greater utilization of participatory training; establishing egalitarian and effectual linkages for decision making at the international level; developing self-reliant community-based models; and the need for attaining holistic empowerment at individual, organizational, and community levels through "duty consciousness" as opposed to merely asking for rights.

PIP: This article traces the growth of voluntary, nongovernmental organizations (NGOs) in the field of community health in India, analyzes the current status of this movement, and predicts future trends. Data were collected from a manual review of the literature in the library of the national headquarters of the Voluntary Health Association of India. The analysis relied on documents written from 1989-96 but included some earlier cross-referenced publications. After an introduction, the article describes the historical evolution of NGO community health programs in India from their roots in the independence movement through their growth in the 50s and 60s in response to the failure of the government to meet health needs. In the 70s, the need for new approaches to all aspects of community development was recognized, and the concept of primary health care was endorsed. Groups began to concentrate on: the provision of alternative appropriate technology; coordinating, networking, and coalition-building; and lobbying and advocacy. During the 80s, the government began to encourage the formation of NGOs that were fueled with foreign funds and run by professionals. A look at the strengths and weaknesses of the NGOs as well as the opportunities and threats they face leads to the conclusion that the NGOs should: 1) enhance linkages between community health and development, 2) build on collective force, 3) use participatory training, 4) integrate modern paradigms with traditional medicine, 5) promote efforts for disadvantaged groups, 6) integrate gender issues, 7) incorporate health behavior interventions, 8) work as partners with foreign donors, 9) work with the government on planning as well as implementation, 10) avoid duplication, 11) attract professionals without becoming commercialized, and 12) create international networks.

Culturally informed social work practice with American Indian clients: guidelines for non-Indian social workers.

Culturally informed social work health and mental health interventions directed toward American Indian clients must be harmonious with their environment and acculturation. This article discusses American Indian beliefs about health and illness and degrees of acculturation. Guidelines are offered to help non-Indian social workers design culturally appropriate interventions.

Interrelations of empathy, cognition, and moral reasoning with dimensions of juvenile delinquency.

The interrelations of a variety of indices of sociocognitive development (empathy, role-taking, logical cognition, and moral reasoning) were studied in delinquent and nondelinquent adolescents. Delinquent males (grouped into psychopathic, neurotic, and subcultural subgroups) and a matched nondelinquent comparison group were administered individually two empathy scales (the Davis Interpersonal Reactivity Index and the Mehrabian and Epstein Questionnaire Measure of Emotional Empathy), an adaptation of Byrne's and Flavell's role-taking tasks, two Piagetian cognitive tasks, and two of Kohlberg's structured moral dilemmas. Delinquents as a group displayed significantly more immature modes of role-taking, logical cognition, and moral reasoning than did nondelinquents. The delinquent subgroups, however, did not significantly differ from one another on these dimensions. Role-taking, logical cognition, and moral reasoning were significantly related to one another. Anticipated differences in level of empathy between the delinquent and nondelinquent adolescents failed to occur. A number of interpretations for this unexpected finding are offered.

'Imagine you're clever'.

A series of four studies was conducted to investigate the influence of role enactment on problem-solving in 6-10 yr old children from a disadvantaged background. It was hypothesized that asking the child to enact someone 'clever' (and in one instance someone 'not clever'), would modify the child's performance on the Matching Familiar Figures test as against performance under standard administrative conditions. Apart from the 6 yr old sample, the findings supported the experimental hypothesis. In addition, the speech of 7 and 8 yr old impulsive and reflective children, and children previously administered reflectivity training schemes, was analysed in terms of a classification scheme of reflexivity. No differences were found between these groups on the measures of reflexivity used in speech. The implications of these findings and this approach for disadvantaged children are discussed.

A prevention and early intervention mental health program for disadvantaged pre-school children.

In this study, 155 disadvantaged pre-school children, ages 3 to 6, were screened for developmental delays using the Cooperative Pre-school Inventory as the primary evaluation tool. Thirty-eight children participated in the experimental group and 20 children were designated the control group. Experimental group children received developmental therapy and their regular classroom experience. In addition, intervention was provided to parents and teachers in order to affect the child's total environment more positively. The control group received only classroom experience. Sixty-five percent of the control group passed the Cooperative Preschool Inventory per-test compared to 50 percent of the experimental group. On the Cooperative Preschool Inventory post-test, 100 percent of the experimental group passed, compared to only 85 percent of the control group. These results suggest that for disadvantaged children early intervention of developmental therapy and classroom experience help eliminate their developmental delays and provide them with age-appropriate developmental skills.